Provider Demographics
NPI:1447351382
Name:FIRGELESKI, III, JOSEPH JOHN (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JOHN
Last Name:FIRGELESKI, III
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 MONROE TPKE
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-1394
Mailing Address - Country:US
Mailing Address - Phone:203-261-7333
Mailing Address - Fax:203-261-5150
Practice Address - Street 1:123 MONROE TPKE UNIT 7
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-1394
Practice Address - Country:US
Practice Address - Phone:203-261-7333
Practice Address - Fax:203-261-5150
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT950111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor